Organization
K & S CHILDHOOD DEVELOPMENT
Active
Other names
K & S PCA/SIL, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA C. DIXON (OWNER)
(318) 388-4953
Entity
Organization
Contact information
Practice address
611 MARTIN LUTHER KING JR DR, MONROE, LA 71203-5360
(318) 388-4953
(318) 388-7650
Mailing address
PO BOX 4327, MONROE, LA 71211-4327
(318) 388-4953
(318) 388-7650
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478474
—
LA
Enumeration date
05/19/2006
Last updated
07/23/2008
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